EP2277457A1 - Dispositif pour la réparation et l'ancrage de tissus endommagés - Google Patents

Dispositif pour la réparation et l'ancrage de tissus endommagés Download PDF

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Publication number
EP2277457A1
EP2277457A1 EP10251328A EP10251328A EP2277457A1 EP 2277457 A1 EP2277457 A1 EP 2277457A1 EP 10251328 A EP10251328 A EP 10251328A EP 10251328 A EP10251328 A EP 10251328A EP 2277457 A1 EP2277457 A1 EP 2277457A1
Authority
EP
European Patent Office
Prior art keywords
suture
anchoring
head
knot
tissue
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP10251328A
Other languages
German (de)
English (en)
Other versions
EP2277457B1 (fr
Inventor
Mehmet Ziya Sengun
Mark A. Capobianco
Douglas Allen Fifolt
Kristian Dimatteo
Gergory R. Whittaker
Brooks J. Storey
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
DePuy Mitek LLC
Original Assignee
DePuy Mitek LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by DePuy Mitek LLC filed Critical DePuy Mitek LLC
Publication of EP2277457A1 publication Critical patent/EP2277457A1/fr
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Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166—Sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/044—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors with a threaded shaft, e.g. screws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0458—Longitudinal through hole, e.g. suture blocked by a distal suture knot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0475—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery using sutures having a slip knot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0477—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
EP10251328.0A 2009-07-24 2010-07-26 Dispositif pour la réparation et l'ancrage de tissus endommagés Active EP2277457B1 (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US12/509,112 US8828053B2 (en) 2009-07-24 2009-07-24 Methods and devices for repairing and anchoring damaged tissue

Publications (2)

Publication Number Publication Date
EP2277457A1 true EP2277457A1 (fr) 2011-01-26
EP2277457B1 EP2277457B1 (fr) 2019-01-30

Family

ID=42827328

Family Applications (1)

Application Number Title Priority Date Filing Date
EP10251328.0A Active EP2277457B1 (fr) 2009-07-24 2010-07-26 Dispositif pour la réparation et l'ancrage de tissus endommagés

Country Status (6)

Country Link
US (4) US8828053B2 (fr)
EP (1) EP2277457B1 (fr)
JP (1) JP5661361B2 (fr)
CN (1) CN101961257B (fr)
AU (1) AU2010202936B2 (fr)
CA (1) CA2710885A1 (fr)

Cited By (33)

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WO2012036889A1 (fr) * 2010-09-17 2012-03-22 Synthes Usa, Llc Dispositif d'ancrage d'une suture
EP2572650A1 (fr) * 2011-09-23 2013-03-27 Arthrex, Inc. Ancrages basés sur une suture souple
EP2662030A1 (fr) * 2012-05-07 2013-11-13 DePuy Mitek, LLC Systèmes, dispositifs et procédés pour fixer un tissu en utilisant des assemblages à anse et ancrages souples
JP2014504168A (ja) * 2010-11-04 2014-02-20 コンメド コーポレイション 縫合糸組立品を使用して物体を骨に固定する方法および装置
EP2710963A1 (fr) * 2012-09-20 2014-03-26 DePuy Mitek, LLC Systèmes et dispositifs pour fixer un tissu par ancrage dur
US8790370B2 (en) 2012-03-30 2014-07-29 Depuy Mitek, Llc Surgical filament assemblies
US8814905B2 (en) 2010-11-23 2014-08-26 Depuy Mitek, Llc Surgical filament snare assemblies
US8821543B2 (en) 2010-12-23 2014-09-02 Depuy Mitek, Llc Adjustable anchor systems and methods
US8821544B2 (en) 2010-11-23 2014-09-02 Depuy Mitek, Llc Surgical filament snare assemblies
US8894684B2 (en) 2012-05-07 2014-11-25 Medos International Sàrl Systems, devices, and methods for securing tissue using a suture having one or more protrusions
US9060763B2 (en) 2012-05-07 2015-06-23 Medos International Sàrl Systems, devices, and methods for securing tissue
US9060764B2 (en) 2012-05-07 2015-06-23 Medos International Sàrl Systems, devices, and methods for securing tissue
EP2675363A4 (fr) * 2011-02-16 2015-07-29 Linvatec Corp Procédé et appareil de fixation d'un objet sur un os
US9095331B2 (en) 2010-12-23 2015-08-04 Medos International Sàrl Adjustable anchor systems and methods
US9192373B2 (en) 2012-12-27 2015-11-24 Medos International Sàrl Surgical constructs and methods for securing tissue
WO2016008058A1 (fr) * 2014-07-17 2016-01-21 Coremedic Ag Appareil et procédé médicaux pour réparation de valvule cardiaque
US9307978B2 (en) 2010-11-04 2016-04-12 Linvatec Corporation Method and apparatus for securing an object to bone, including the provision and use of a novel suture assembly for securing an object to bone
US9421010B2 (en) 2012-06-20 2016-08-23 Arthrex, Inc. Whipping suture anchor
WO2016133996A1 (fr) * 2015-02-17 2016-08-25 Smith & Nephew, Inc. Système d'insertion d'ancre et son procédé d'utilisation
US9463011B2 (en) 2012-08-17 2016-10-11 Arthrex, Inc. Soft anchors with soft eyelets
EP2967547A4 (fr) * 2013-03-15 2016-10-12 Thoratec Corp Dispositif et procédé anastomotique
US9737293B2 (en) 2013-03-15 2017-08-22 Medos International Sàrl Surgical constructs with collapsing suture loop and methods for securing tissue
WO2017160589A1 (fr) * 2016-03-18 2017-09-21 Smith & Nephew, Inc. Dispositif de fixation chirurgicale à ancrage mou et ses procédés d'utilisation
EP2596755A3 (fr) * 2011-11-23 2017-11-08 Howmedica Osteonics Corp. Ancrage de suture filamenteux
EP3248549A1 (fr) * 2016-05-26 2017-11-29 Ivy Sports Medicine, LLC Systèmes de fixation de suture intégralement interne pour la fixation d'un implant et la réparation de tissu mou
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US9986992B2 (en) 2014-10-28 2018-06-05 Stryker Corporation Suture anchor and associated methods of use
WO2019222439A1 (fr) * 2018-05-17 2019-11-21 Smith & Nephew, Inc. Dispositif et procédé de réparation de tissu
US10499903B2 (en) 2014-10-15 2019-12-10 Smith & Nephew, Inc. Anchor/implant deployment device and tissue repair methods related thereto
US10531892B2 (en) 2012-03-13 2020-01-14 Smith & Nephew, Inc. Surgical needle
FR3094625A1 (fr) * 2019-04-02 2020-10-09 Jean-Luc Raynier Dispositif de réinsertion de parties molles à un support osseux
EP3939545A1 (fr) * 2017-04-06 2022-01-19 Harpoon Medical, Inc. Appareils d'ancrage distal et procédés de réparation de valvule mitrale
US11331094B2 (en) 2013-04-22 2022-05-17 Stryker Corporation Method and apparatus for attaching tissue to bone

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AU2010202936B2 (en) 2016-02-25
US20110022083A1 (en) 2011-01-27
JP2011025034A (ja) 2011-02-10
US10004495B2 (en) 2018-06-26
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US8828053B2 (en) 2014-09-09
US11141149B2 (en) 2021-10-12
US20180271523A1 (en) 2018-09-27
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US20210401432A1 (en) 2021-12-30

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